Organization
JILL SHALAN, PHD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL SHALAN PHD (OWNER/MEMBER)
(860) 335-3345
Entity
Organization
Contact information
Practice address
68 S MAIN ST, WEST HARTFORD, CT 06107-2445
(860) 335-3345
(860) 561-6184
Mailing address
68 S MAIN ST, WEST HARTFORD, CT 06107-2445
(860) 335-3345
(860) 561-6184
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2308
CT
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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